Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,187.76 / $3,630.78	Facility		$660.69	$2,187.76	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $537.03	Professional		$363.08	$446.68	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,691.53 / $2,754.23	Facility		$1,348.96	$2,691.53	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $478.63	Professional		$50.12	$60.26	$478.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,230.27 / $1,513.56	Facility		$389.05	$1,230.27	$1,513.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $1,258.93	Professional		$245.47	$407.38	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $812.83 / $1,819.70	Facility		$354.81	$812.83	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $776.25	Professional		$389.05	$616.60	$776.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $588.84	Professional		$436.52	$537.03	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $954.99	Professional		$436.52	$537.03	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $1,380.38	Facility		$363.08	$616.60	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $537.03	Professional		$389.05	$537.03	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $741.31	Professional		$436.52	$489.78	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $537.03	Facility		$229.09	$295.12	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $954.99	Professional		$229.09	$245.47	$954.99